Individual provider Active NPI

Susan Andrea Waterman, M.D.

  • Psychiatry Physician
  • Rockville, MD
National Provider Identifier
1376749333
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
049832 Issued in VA
Practice address
9972 Foxborough Cir
Rockville, MD 20850-4613
Phone
(703) 766-6555
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301503214 MI
Psychiatry Physician 2084P0800X 35C.003121 OH
Neurology Physician 2084N0400X 62505 TN
Psychiatry Physician 2084P0800X 049832 VA Primary
Neurology Physician 2084N0400X 28400 MS
Psychiatry Physician 2084P0800X 87929 SC

Addresses

Primary practice location

9972 Foxborough Cir
Rockville, MD 20850-4613

Mailing address

1900 Campus Commons Dr Ste 100
Reston, VA 20191-1535
Phone (866) 212-7537

Other practice location 1

272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-7500

Other practice location 2

146 E Hospital Dr Ste 120A
West Columbia, SC 29169-4800
Phone (803) 936-7460

Other practice location 3

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000

Other practice location 4

1 Ford Pl Ste 2E
Detroit, MI 48202-3450
Phone (313) 874-3953

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TN, MS, MD, DC, GA, WV, AR, WY, WI, MO, SC, KS, OK, OH15 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 15

Enrollment IDStateProvider typePAC IDDetails
I20201006002560 MI Practitioner - Psychiatry 9537588819 Reassigns benefits to 4 organizations
I20210709001141 TN Practitioner - Psychiatry 9537588819 Reassigns benefits to 6 organizations
I20210712000583 MS Practitioner - Psychiatry 9537588819 Reassigns benefits to 2 organizations
I20210715003181 MD Practitioner - Psychiatry 9537588819 Reassigns benefits to 2 organizations
I20210715003321 DC Practitioner - Psychiatry 9537588819 Reassigns benefits to 1 organization
I20211129001929 GA Practitioner - Psychiatry 9537588819 Reassigns benefits to 1 organization
I20220616002451 WV Practitioner - Psychiatry 9537588819 Reassigns benefits to 3 organizations
I20230613001676 AR Practitioner - Psychiatry 9537588819 Reassigns benefits to 2 organizations
I20231114002446 WY Practitioner - Psychiatry 9537588819 Reassigns benefits to 4 organizations
I20240124000562 WI Practitioner - Psychiatry 9537588819 Reassigns benefits to 1 organization
I20240129000295 MO Practitioner - Psychiatry 9537588819 Reassigns benefits to 2 organizations
I20241011003564 SC Practitioner - Psychiatry 9537588819 Reassigns benefits to 5 organizations
I20241016003131 KS Practitioner - Psychiatry 9537588819 Reassigns benefits to 1 organization
I20250702000527 OK Practitioner - Psychiatry 9537588819 Reassigns benefits to 1 organization
I20260515003637 OH Practitioner - Psychiatry 9537588819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of New York at Buffalo School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Athens Physicians Practice LLCGroup PAC ID 2163490319, 33 clinicians
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (931) 783-2497

100 Gross Crescent Cir
Fort Oglethorpe, GA 30742-3643
Phone (706) 858-2445

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 636-1090

1114 W Madison Ave
Athens, TN 37303-4150
Phone (423) 745-1411

1200 College Dr
Rock Springs, WY 82901-5868
Phone (307) 362-3711

1500 W Poplar Ave
Collierville, TN 38017-0601

1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4685

1705 E 19TH St
Tulsa, OK 74104-5410

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071

2100 N 7TH St
West Memphis, AR 72301-2017
Phone (901) 226-3610

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 331-3000

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-2620

255 Baptist Blvd
Columbus, MS 39705-2006

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2569

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3882

719 Cook Dr
Athens, TN 37303-3495

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2130

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-3120

929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone (316) 268-5000

PO Box
Suite 405827
Atlanta, GA 30384-5827

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28400MSMDNeurology Physician
35C.003121OHMDPsychiatry Physician
87929SCMDPsychiatry Physician
049832VAMDPsychiatry Physician

Practice roles (60 of 63)

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation, Inc CurrentSince Aug 24, 2021 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Neurology CurrentSince Jan 1, 2024 Accepting new patients
Baptist Health Services Current Accepting new patients
Henry Ford Health System Psychiatry CurrentSince Oct 1, 2020 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Neurology CurrentSince Oct 1, 2025 Accepting new patients
Henry Ford Health System Current Accepting new patients
Lexington Health Inc Psychiatry CurrentSince Sep 15, 2024 Accepting new patients
Athens Physicians Practice LLC CurrentSince Nov 12, 2021 Accepting new patients
Lake Regional Health System CurrentSince Oct 1, 2024 Accepting new patients
St. John Physicians, Inc CurrentSince Jul 1, 2025 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Henry Ford Macomb Hospital Corporation Neurology CurrentSince Oct 1, 2020 Accepting new patients
St. John Physicians, Inc. Neurology Current Accepting new patients
Cookeville Regional Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
McLeod Health Clarendon CurrentSince Oct 1, 2025 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Neurology CurrentSince Nov 16, 2021 Accepting new patients
St Agnes Healthcare Inc Neurology CurrentSince Oct 25, 2022 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Oct 1, 2025 Accepting new patients
Henry Ford Wyandotte Hospital Neurology CurrentSince Nov 1, 2020 Accepting new patients
Baptist Health Services Neurology CurrentSince May 2, 2023 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Oct 24, 2023 Accepting new patients
Lake Regional Health System CurrentSince Oct 1, 2024 Accepting new patients
Saint Francis Medical Center CurrentSince Jan 15, 2024 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Oct 1, 2025 Accepting new patients
Saint Francis Medical Center CurrentSince Jan 15, 2024 Accepting new patients
United Hospital Center, Inc. CurrentSince Dec 5, 2023 Accepting new patients
Henry Ford Health System CurrentSince Oct 1, 2020 Accepting new patients
Baptist Memorial Medical Group Inc Psychiatry CurrentSince May 1, 2021 Accepting new patients
Memorial Hospital of Carbon County CurrentSince May 20, 2024 Accepting new patients
Lexington Health Inc Current Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Neurology CurrentSince Aug 1, 2024 Accepting new patients
Saint Thomas Hickman Hospital CurrentSince Sep 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2021 Accepting new patients
Saint Thomas Hickman Hospital Current Accepting new patients
McLeod Health Clarendon CurrentSince Oct 1, 2025 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Oct 1, 2020 Accepting new patients
Saint Thomas Medical Partners Neurology CurrentSince Jul 31, 2023 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Aug 24, 2021 Accepting new patients
Medical Foundation of Central Ms CurrentSince Nov 16, 2021 Accepting new patients
Henry Ford Wyandotte Hospital Current Accepting new patients
Hickman Community Health Careservices CurrentSince Sep 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2021 Accepting new patients
Athens Physicians Practice LLC CurrentSince Nov 12, 2021 Accepting new patients
St Agnes Healthcare Inc CurrentSince Oct 25, 2022 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Oct 1, 2025 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Nov 1, 2020 Accepting new patients
Cookeville Regional Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Athens Physicians Practice, LLC Psychiatry Current Accepting new patients
Lexington Health Inc CurrentSince Sep 15, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc Psychiatry CurrentSince Oct 1, 2020 Accepting new patients
St Josephs Hospital of Buckhannon Inc CurrentSince Apr 28, 2022 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince May 1, 2021 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Oct 1, 2025 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Aug 1, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Oct 1, 2020 Accepting new patients
Wa Foote Memorial Hospital, Inc Current Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
McLeod Medical Center-Dillon CurrentSince Oct 1, 2025 Accepting new patients

Locations (25 of 66)

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15420 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 226-7007

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

205 S East Ave
Jackson, MI 49201
Phone (517) 205-2103

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Interoperability endpoints

  • Direct secure messaging: swaterman700527@direct.hfhs.org
  • Direct secure messaging: swaterman310110@direct.wvuhsdirect.com
  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4
  • Direct secure messaging: swaterma@yourcarecommunity.org

Organizations & group practices 64

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 64

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1376749333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CAMPUS COMMONS DR STE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911535",
            "telephone_number": "866-212-7537",
            "fax_number": "833-219-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9972 FOXBOROUGH CIR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504613",
            "telephone_number": "703-766-6555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "272 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456019031",
            "country_code": "US",
            "telephone_number": "740-779-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "146 E Hospital Dr Ste 120A",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694800",
            "country_code": "US",
            "telephone_number": "803-936-7460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7601 Southcrest Pkwy",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386714739",
            "country_code": "US",
            "telephone_number": "662-772-4000",
            "fax_number": "662-772-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Ford Pl Ste 2E",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482023450",
            "country_code": "US",
            "telephone_number": "313-874-3953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "SUSAN",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301503214",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35C.003121",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "62505",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "049832",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "28400",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "87929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena@adena.medicity.net",
            "affiliation": "N",
            "address_1": "272 Hospital Rd",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456019031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.